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Home My WebLink AboutZ-31614FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 31614 Date: 06/13/06 THIS CERTIFIES that the building DWELLING Location of Property 650 SOUTH DR MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 106 Block 0011 Lot 010 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 31614 dated JUNE 13, 2006 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ACCESSORY SHED* The certificate is issued to ELIZABETH IRELAND TRUST (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL PLUMBERS CERTIFICATION DATED *PLEASE SEE ATTACHED INSPECTION REPORT. Rev. 1/81 N/A N/A Authorized Signature BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 650 SOUTH DR MATTITUCK SUBDIVISION: NAP NO.: IAT (S) NAME OF OWNER (S): ELIZABETH IRELAND TRUST OCCUPANCY: ONE FAMILY RESIDENCE ELIZABETH IRELAND TRUST ADMITTED BY: MICHAEL A. IRELAND ACCOMPANIED BY: SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 106.-11-10 SOURCE OF REQUEST: MICHAEL A. IRELAND 6/1/06 DATE: 06/13/0 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME () STORIES: 2.0 i EXITS: 3 FOUNDATION: CEMENT BLOCK CELLAR: FULL CRAWL SPACE: TOTAL ROOKS: IST FLR.: 6 2ND FLR.: 2 3RD FLR.: 0 BATHROON(S): 1.0 TOILET ROOK(S): 1.0 UTILITY ROOK(S): PORCH TYPE: DECK TYPE: (2) WOOD PATIO TYPE: BREEZEWAY: FIREPLACE: YES GARAGE: DOMESTIC HOTKATER: YES TYPE HEATER: HOT WATER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: NO HOTWATER: YES OTHER: ROOFED -OVER CONCRETE PORCH, CELLAR ENTRANCE ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: STORAGE, TYPE COMET, SHED WOOD FRAME GUEST, TYPE CONST.: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION I DESCRIPTION I ART. INSPECTED BY: GEORGE GILLEN -MATE ON INSPECTION: 61/20/65 TIME START: 10:05 AM END: 10:20 AM Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Departmen e t"T A. For new building or new use: 1; 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusu leu topographic features. 6 2. Final Approval from Health Dept. of water supply and sewerage -disposal (S-9 form). i— --- .--------� 3. Approval of electrical installation from Board of Fire Underwriters. T_ow'aS�U ;_ 'OLO 4. Sworn statement from plumber certifying that the solder used in system contains less thanl "/u lead, 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. r existing buildings (prior to April 9, 1957) non -conforming uses, or buildings and "pre-existing" land uses: I AccuraAccuratesurvey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy 3. 4. New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, ,cessory br ' 0 Additions to accessory building $25.00, Businesses� $�50.00. n Pre-existing Building - $100.00 Ci,,e (-,k Or mon O�Pc� v1 Copy of Certificate of Occupancy - $.25 Updated Certificate of Occupancy - $50.00 Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. "�_Id'ID(j New Construction: Old or Pre-existing Building: �— (check one Location of Property: � 4ft � �y House No. Street Hamlet Owner or Owners of Property: _ Suffolk County Tax Map No 1000, Section /t2 '6, Block %/ Lot w Subdivision Filed Map. Lot: Permit No. Date of Permit. Applicant: Health Dept, Approval: Underwriters Approval: Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ /W co 6�kx _. -� o -j 4 Final Certificate: // (check one) Applicant Signature Eloy 14500 , le 6 - // - i o TOWN OF SOUTHOLD PROPERTY RECORD CARD OWNER STREET 650 VILLAGE DIST, SUB. LOT 2/tt al ou ►' Tl�TVG E'er �1'.�5 FORMER OWNER N E ACR. S W TYPE OF BUILDING RES. z10 SEAS. VL FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS 74Qc) ZZ00 1p� 0 0/o - L 1151 to'7 - l ane{ .* w -F �! ube � e l � rd i � t •><�C t _11 % DU - Ui24 bA ) r G /1 tjgz ati AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Acre Value Tillable I Tillable 2 Tillable 3 Woodland Swampland FRONTAGE ON WATER Brushland FRONTAGE ON ROAD House Plot DEPTH BULKHEAD Total `� " DOCK CONSENT TO INSPECTION `ls(fgaYb -ve6- rGWaA6- W� � , the undersigned, do(es) hereby state: O er(s)1 ame(s) That the undersigned (is) are) the owner(s) of the premises in the Town of Southold, located at (,gyp 'DUdA',- Oh& which is shown and designated on the Suffolk County Tax Map as District 1000, Section/060_, Block /()6 , Lot l I jv That the undersigned (has) (have) filed, or cause to be filed, an application in the Southold Town Building Inspector's Office for the following: (�PD C-, )6Wi. That the undersigned do(es) hereby give consent to the Building Inspectors of the Town of Southold to enter upon the above described property, including any and all buildings located thereon, to conduct such inspections as they may deem necessary with respect to the aforesaid application, including inspections to determine that said premises comply with all of the laws, ordinances, rules and regulations of the Town of Southold. The undersigned, in consenting to such inspections, do(es) so with the knowledge and understanding that any information obtained in the conduct of such inspections may be used in subsequent prosecutions for violations of the laws, ordinances, rules or regulations of the Town of Southold. Dated: (Si ature) (Print Name) (Signature) (Print Name) / A f'C,„ V j Oo; If- oa 0 � 6 'P Al A- 11 fa�a� a�Gp G�`T' kfi1TP —5G cam( G� d \ �� O OF % % s\,A R 5 \e oFy 'nf Sp,`r^� IT 4 �A� \, OFA 3CN/ °Sp µB L F \ o ✓Pcs. la X S , `WVDD d pU1O 1 P Qy �P Nuc QP ) P ", 00 O�'// \_ 4'C pQ JQf OeE !n S 0;fQ'�`Q-� \ 100 A Y°d nuc N° G j -S pAR�,�4J fOp,�Off S xx DRAW SURVEY OF LOTS 1, 2 & 3 MAP OF SHORE ACRES FILE No. 41 FILED JANUARY 3, 1914 SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-106-11-10 SCALE 1"=20' MAY 2, 2006 UNAUTHORIZED ALTERATION OR ADDITION ro THIS SURVEY Is A wounoN of SEC ➢ON 7209 Of rNE NEW TDRK STnrE EDUCATION L4W COPIES OF THIS SURVEY MAP NOT 6GRING THE LAND SURVEYORS INK ED SEAL OR EMROSGEO SEAL SHALL NOT BE CONSIDERED TO RE A VAt10 TRUE COPT CERTIFICATIONS INDICATED HEREON SHALL PUN ONLY i0 THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF i0 THE illi£ COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTTUIION LISTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION CEHTIFlGTpNS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY ANO/OR EASEMENTS OF RECORD. IF ANY. NOT SHOWN ARE NOT GUARANTEED. AREA = 23,498.60 sq. it. 0.540 ac. PREPARED IN ACCORDANCE WIT HE MINIMUM STAN CARDS FOR rinE sulrvEY AS EsrneusHEo BY TI1E LI A LS AND APPRD AND ADOPTED FOR SDCH USE E -N ONE STATE LAND nnE nssoclA11 rB N YO 5 6�QH %VGFc�''f- n 5`L1/ nln N Y 5 U. -N. 49669 Joseph A. Ingegno Land Surveyor Title Surveys - Subdivisions - Sde Plans - Construction Leyoul PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS 322 ROANOKE AVENUE P.O. Box 1931 ftIVERHEAD, New York 11901 Riverhead, New York 11901-0965 % % s\,A R 5 \e oFy 'nf Sp,`r^� IT 4 �A� \, OFA 3CN/ °Sp µB L F \ o ✓Pcs. la X S , `WVDD d pU1O 1 P Qy �P Nuc QP ) P ", 00 O�'// \_ 4'C pQ JQf OeE !n S 0;fQ'�`Q-� \ 100 A Y°d nuc N° G j -S pAR�,�4J fOp,�Off S xx DRAW SURVEY OF LOTS 1, 2 & 3 MAP OF SHORE ACRES FILE No. 41 FILED JANUARY 3, 1914 SITUATED AT MATTITUCK TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-106-11-10 SCALE 1"=20' MAY 2, 2006 UNAUTHORIZED ALTERATION OR ADDITION ro THIS SURVEY Is A wounoN of SEC ➢ON 7209 Of rNE NEW TDRK STnrE EDUCATION L4W COPIES OF THIS SURVEY MAP NOT 6GRING THE LAND SURVEYORS INK ED SEAL OR EMROSGEO SEAL SHALL NOT BE CONSIDERED TO RE A VAt10 TRUE COPT CERTIFICATIONS INDICATED HEREON SHALL PUN ONLY i0 THE PERSON FOR WHOM THE SURVEY IS PREPARED. AND ON HIS BEHALF i0 THE illi£ COMPANY, GOVERNMENTAL AGENCY AND LENDING INSTTUIION LISTED HEREON. AND TO THE ASSIGNEES OF THE LENDING INSTI- TUTION CEHTIFlGTpNS ARE NOT TRANSFERABLE. THE EXISTENCE OF RIGHTS OF WAY ANO/OR EASEMENTS OF RECORD. IF ANY. NOT SHOWN ARE NOT GUARANTEED. AREA = 23,498.60 sq. it. 0.540 ac. PREPARED IN ACCORDANCE WIT HE MINIMUM STAN CARDS FOR rinE sulrvEY AS EsrneusHEo BY TI1E LI A LS AND APPRD AND ADOPTED FOR SDCH USE E -N ONE STATE LAND nnE nssoclA11 rB N YO 5 6�QH %VGFc�''f- n 5`L1/ nln N Y 5 U. -N. 49669 Joseph A. Ingegno Land Surveyor Title Surveys - Subdivisions - Sde Plans - Construction Leyoul PHONE (631)727-2090 Fax (631)727-1727 OFFICES LOCATED AT MAILING ADDRESS 322 ROANOKE AVENUE P.O. Box 1931 ftIVERHEAD, New York 11901 Riverhead, New York 11901-0965 "�l 'x b� a (30 LOCATION: (number & street) SUBDIVISION: NAME OF OWNER(S): _ OCCUPANCY: / i k-od /ap� /�' (municipality) LOT(S): �— (fie) (owner -tenant) ADMITTED BY: ACCOMPANIED BY: ' KEY AVAILABLE: )I SUFF. CO. TAX MAP NO. 1000- D it o SOURCE OF REQUEST: Ya,J% DATE: d-/- o DWELLING: TYPE OF CONSTRUCTION: Woo D # STORIES: # EXITS: FOUNDATION: CELLAR: )IifLL CRAWL SPACE: -- TOTAL ROOMS: 1ST FLR: 2ND FLR: 3RD FLR: BATHROOM(S): TOILET ROOU191 I UTILITY ROOM: -- PORCH TYPE: —` DECK, TYPE: W o 0 PATIO, TYPE: BREEZEWAY: FIREPLACE: GARAGE: DOMESTIC HOTWATER: yt S TYPE HEATER: //67-K7`�AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: No HOTWATER: yt S OTHER: o rll:-73 - o JER CON��4;!- fak e ff CE -L 4-,4W 6 10>1f4W e F ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: SWIMMING POOL: OTHER: ' fRleb STORAGE, TYPE CONST.: GUEST, TYPE CONST: VIOLATIONS: CHAPTER 45 & N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION- ART. SEC. REMARKS: INSPECTED BY: '! ' sem-- DATE OF INSPECTION: TIME START: END: �d